Financing of IDPC Teams (Qualitative Study)

Designing remuneration and managerial governance models that supports the comprehensiveness, coordination, continuity, and quality of care (3C&Q).

The research issue is that from Alberta's Primary Care Networks to Prince Edward Island's Family Health Centres, provinces are moving towards team-based models of primary health care (PHC). We know that teams have many advantages in terms of health services goals (e.g. comprehensiveness, coordination, continuity, quality). However, we do not know how best to support these health care teams via organizational structures. There is a paucity of evidence to identify optimal models for the remuneration of interdisciplinary teams, and for the managerial governance of such teams.

The objective of this research project is to develop a conceptual framework for the compensation and managerial governance of interdisciplinary team-based models to support the 3C&Q. This framework will contextualize the design of team-based models for specific environments (e.g. political climate, existing compensation structures, available health workforce) and be applied as case studies in several Canadian jurisdictions.

The research team for this particular project consists of two academic researchers from Nova Scotia, Dr. Dominika Wranik and Dr. Adrian Levy, an academic researcher from Manitoba, Dr. Alan Katz, and two decision maker partners from Alberta, Maryna Korchagina, and Manitoba, Jeanette Edwards (see our Research Team page for further details).

This research is funded by the Canadian Institute for Health Research (Health Care Renewal Policy Analysis Program), and by the Nova Scotia Health Research Foundation (REDI program). The project is awaiting approval by the Nova Scotia Ethics Boards of CDHA, AVDHA, CEHDHA, GASHA, SSRH, SWNDHA, PCHA, CBHA, the University of Manitoba Research Ethics Board, and Alberta Health.

We understand the concept of interdisciplinarity to be broader than and inclusive of that of multidisciplinarity. An interdisciplinary team has a higher degree of integration of processes than a multidisciplinary team. We welcome your comments on this matter, as we are interested in academic and non-academic perspectives on the use of this terminology.

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